牙体及牙周基础治疗对预防糖尿病患者口腔并发症的临床效果观察

Clinical Observation of Dental and Periodontal Treatment for Preventing Oral Complications in Diabetic Patients

目的分析在预防糖尿病患者口腔并发症中实施牙体及牙周基础治疗的效果。方法纳入44例来该院就诊的糖尿病患者,纳入时间为2017年12月—2018年12月,按照随机数字表法分组,各22例。对参照组糖尿病患者行口腔健康检查,对实验组糖尿病患者行牙体及牙周基础治疗。分析两组患者的治疗效果、并发症发生率、血糖水平以及口腔健康各项临床指标变化情况。结果实验组糖尿病患者的治疗效果为95.45%(21/22),参照组糖尿病患者的治疗效果为68.18%(15/22),经对比组间数据差异有统计学意义(P<0.05);实验组糖尿病患者的并发症发生率为9.09%(2/22),参照组糖尿病患者的并发症发生率为36.36%(8/22),经对比组间数据差异有统计学意义(P<0.05)。治疗前实验组和参照组患者的出血指数、菌斑指数、牙齿缺失数以及龋补牙数,组间差异无统计学意义(P>0.05);治疗后实验组患者的出血指数、菌斑指数、牙齿缺失数低于参照组,龋补牙数高于参照组,组间数据对比差异有统计学意义(P<0.05)。实验组血糖水平相比于参照组较低,组间差异有统计学意义(P<0.05)。结论在预防糖尿病患者口腔并发症中实施牙体及牙周基础治疗,牙周基础治疗可使血清氧化应激水平得到有效改善,牙周部位在刺激条件下,其炎症状态得到有效缓解,对其口腔并发症具有有效的预防作用,防止出现复发情况,临床疗效显著,值得临床上广泛推广以及借鉴。

Objective To analyze the effect of dental and periodontal treatment in the prevention of oral complications in diabetic patients.Methods A total of 44 patients with diabetes admitted to the hospital were enrolled from December 2017 to December 2018,and 22 patients were grouped according to the random number table method.Oral health examination was performed on the control group of diabetic patients,and the dental group and periodontal basic treatment were performed on the diabetic patients in the experimental group.The therapeutic effects,complication rate,blood glucose level and clinical indicators of oral health were analyzed in two groups.Results The therapeutic effect of the experimental group was 95.45%(21/22),and the treatment effect of the control group was 68.18%(15/22).The difference between the two groups was statistically significant(P<0.05).The incidence of complications in the experimental group was 9.09%(2/22),and the complication rate in the control group was 36.36%(8/22).There was statistically significant difference between the two groups(P<0.05).Bleeding index,plaque index,number of missing teeth and number of molars in the experimental group and the control group before treatment were not significantly different between the two groups(P>0.05).The blood index,plaque index,and tooth loss of the experimental group after treatment was lower than the control group,the number of sputum fillings was higher than that of the control group,and the difference in data between two groups was statistically significant(P<0.05).The blood glucose level of the experimental group was lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion In the prevention of oral complications in diabetic patients,the basic treatment of teeth and periodontitis can improve the serum oxidative stress level.The periodontal part is effectively relieved under the stimulation condition.Oral complications have an effective preventive effect,prevent recurrence,and have clinically significant effects.It is worthy of widespread clinical promotion and reference.